Individual provider Active NPI

Jose P George, MD, PH.D., CMD

  • Internal Medicine Physician
  • Allison Park, PA
National Provider Identifier
1750357489
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD039908L Issued in PA
Practice address
4655 William Flynn Hwy
Suite 125a
Allison Park, PA 15101-2243
Phone
(412) 487-4888
Fax
(412) 487-2226
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD039908L PA Primary

Addresses

Primary practice location

4655 William Flynn Hwy
Suite 125a
Allison Park, PA 15101-2243

Mailing address

4655 William Flynn Hwy
Suite 125a, Coventry Sqaure
Allison Park, PA 15101-2243
Phone (412) 487-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060915000198 PA Practitioner - Internal Medicine 3274538780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD039908LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2016 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2016 Accepting new patients
Hampton Medical Center Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

5140 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-2100

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1750357489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 WILLIAM FLYNN HWY",
            "address_2": "SUITE 125A, COVENTRY SQAURE",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012243",
            "telephone_number": "412-487-4888",
            "fax_number": "412-487-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 WILLIAM FLYNN HWY",
            "address_2": "SUITE 125A",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012243",
            "telephone_number": "412-487-4888",
            "fax_number": "412-487-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JOSE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD, PH.D., CMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039908L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.